Social determinants of health affect unplanned readmissions following acute myocardial infarction. Academic Article uri icon

Overview

abstract

  • Background: Low socioeconomic status predicts inferior clinical outcomes in many patient populations. The effects of patient insurance status and hospital safety-net status on readmission rates following acute myocardial infarction are unclear. Materials & methods: A retrospective review of State Inpatient Databases for New York, California, Florida and Maryland, 2007-2014. Results: A total of 1,055,162 patients were included. Medicaid status was associated with 37.7 and 44.0% increases in risk-adjusted readmission odds at 30 and 90 days (p < 0.0001). Uninsured status was associated with reduced odds of readmission at both time points. High-burden safety-net status was associated with 9.6 and 9.5% increased odds of readmission at 30 and 90 days (p < 0.0003). Conclusion: Insurance status and hospital safety-net burden affect readmission odds following acute myocardial infarction.

publication date

  • January 13, 2021

Research

keywords

  • Myocardial Infarction
  • Patient Readmission

Identity

Scopus Document Identifier

  • 85099731220

Digital Object Identifier (DOI)

  • 10.2217/cer-2020-0135

PubMed ID

  • 33438461

Additional Document Info

volume

  • 10

issue

  • 1